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4 results on '"Stringari C"'

1. The Italian Multicentre Registry of Fenestrated Anaconda™ Endografts for Complex Abdominal Aortic Aneurysms Repair.

Author

Pini R, Giordano J, Ferri M, Palmieri B, Solcia M, Michelagnoli S, Chisci E, Fadda Gian F, Cappiello P, Talarico F, Licata S, Frigatti P, Ronchey S, Mangialardi N, Pratesi C, Salvini M, Milite D, Pilon F, Perkmann R, Stringari C, Pulli R, Faggioli G, and Gargiulo M

Subjects
Aged, Aged, 80 and over, Aortic Aneurysm, Abdominal diagnostic imaging, Aortic Aneurysm, Abdominal mortality, Aortic Aneurysm, Thoracic diagnostic imaging, Aortic Aneurysm, Thoracic mortality, Blood Vessel Prosthesis Implantation adverse effects, Blood Vessel Prosthesis Implantation mortality, Endoleak etiology, Endoleak therapy, Endovascular Procedures adverse effects, Endovascular Procedures mortality, Female, Humans, Italy, Male, Prospective Studies, Prosthesis Design, Registries, Risk Factors, Time Factors, Treatment Outcome, Aortic Aneurysm, Abdominal surgery, Aortic Aneurysm, Thoracic surgery, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation instrumentation, Endovascular Procedures instrumentation
Abstract

Objective: The aim was to describe the outcomes of the Anaconda™ Fenestrated endograft Italian Registry for complex aortic aneurysms (AAAs), unsuitable for standard endovascular aneurysm repair (EVAR)., Methods: Between 2012 and 2018 patients with a proximal neck unsuitable for standard EVAR, treated with the fenestrated Anaconda™ endograft, were prospectively enrolled in a dedicated database. Endpoints were peri-operative technical success (TS) and evaluation of type Ia/b or 3 endoleaks (T1/3 EL), target visceral vessel (TVV) occlusion, re-interventions, and AAA related mortality at 30 days, six months, and later follow up., Results: One hundred twenty seven patients (74 ± 7 years, American Society Anesthesiology (ASA) II/III/IV: 12/85/30) were included in the study in 49 Italian Vascular Surgery Units (83 juxta/para-renal AAA, 13 type IV thoraco-abdominal AAA, 16 T1aEL post EVAR, and 15 short neck AAA). Configurations with one, two, three, and four fenestrations were used in 5, 56, 39, and 27 cases, respectively, for a total of 342 visceral vessels. One hundred and eight (85%) bifurcated and 19 (15%) tube endografts were implanted. In 35% (44/127) of cases the endograft was repositioned during the procedure, and 37% (128/342) of TVV were cannulated from brachial access. TS was 87% (111/127): five T1EL, six T3EL (between fenestration and vessel stent), and six loss of visceral vessels (one patient with a Type Ia EL had also a TVV loss) occurred. Thirty day mortality was 4% (5/127). Two of the five T1EL resolved spontaneously at 30 days. The overall median follow up was 21 ± 16 months; one T1EL (5%) occurred at six months and one T3EL (4%) at the three year follow up. Another two (3%) TVV occlusions occurred at six months and five (3%) at three years. The re-intervention rate at the 30 days, six months, and three year follow up was 5%, 7%, and 18 ± 5%, respectively., Conclusion: The fenestrated Anaconda™ endograft is effective in the treatment of complex AAA. Some structure properties, such as the re-positionability and the possibility of cannulation from above, are specific characteristics helpful for the treatment of some complex anatomies., (Copyright © 2020 European Society for Vascular Surgery. Published by Elsevier B.V. All rights reserved.)

Published
2020
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2. Endovascular repair of a paraanastomotic aneurysm with inverted limb infrarenal bifurcated graft.

Author

Stringari C, Perkmann R, and Zaraca F

Subjects
Aged, Aneurysm, False diagnostic imaging, Aneurysm, False etiology, Aortic Aneurysm diagnostic imaging, Aortic Aneurysm etiology, Aortography methods, Fatal Outcome, Humans, Male, Prosthesis Design, Reoperation, Time Factors, Tomography, X-Ray Computed, Treatment Outcome, Aneurysm, False surgery, Aorta surgery, Aortic Aneurysm surgery, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation adverse effects, Blood Vessel Prosthesis Implantation instrumentation, Endovascular Procedures instrumentation, Stents
Abstract

A typical complication after conventional aortic prosthetic reconstruction is paraanastomotic aneurysm formation. Endovascular exclusion of paraanastomotic aneurysms has been shown to be a viable alternative to open surgical repair and to greatly reduce morbidity and mortality rates. We present a case report of asymptomatic proximal anastomotic pseudoaneurysm, measuring 4.5 cm in diameter, that was successfully treated by endovascular repair with a custom-made inverted limb infrarenal bifurcated graft., (Copyright © 2014 Elsevier Inc. All rights reserved.)

Published
2014
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3. Endovascular treatment of a left subclavian pseudoaneurysm induced by ingestion of a foreign body.

Author

Stringari C, Sbraga P, and Zaraca F

Subjects
Aneurysm, False etiology, Esophageal Fistula etiology, Foreign Bodies surgery, Humans, Male, Mediastinitis complications, Middle Aged, Vascular Fistula etiology, Aneurysm, False surgery, Endovascular Procedures, Esophageal Fistula surgery, Foreign Bodies complications, Stents, Subclavian Artery surgery, Vascular Fistula surgery
Abstract

Subclavian artery-esophageal fistula is a life-threatening entity. It usually occurs in cases of an aberrant right subclavian artery. A fistula between a non-aberrant subclavian artery and esophagus is extremely rare and difficult to diagnose. It is generally due to ingestion of a foreign body and it is often lethal. We present a case of subclavian artery-esophageal fistula complicated by mediastinitis in a 45-year-old man. The fistula, induced by ingestion of a fish bone, was successfully treated by endovascular stent grafting and left thoracotomy., (Copyright © 2013 Elsevier Inc. All rights reserved.)

Published
2013
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4. The Italian Multicentre Registry of Fenestrated Anaconda™ Endografts for Complex Abdominal Aortic Aneurysms Repair

Author

Francesco Talarico, Raffaele Pulli, Carlo Stringari, D. Milite, Rodolfo Pini, Pierluigi Cappiello, Nicola Mangialardi, Franco Fadda Gian, Mauro Salvini, Gianluca Faggioli, Jacopo Giordano, Sonia Ronchey, Marco Solcia, Stefano Michelagnoli, Bruno Palmieri, Paolo Frigatti, Fabio Pilon, Mauro Gargiulo, Silvio Licata, Carlo Pratesi, Michelangelo Ferri, Reinhold Perkmann, Emiliano Chisci, Pini R., Giordano J., Ferri M., Palmieri B., Solcia M., Michelagnoli S., Chisci E., Fadda Gian F., Cappiello P., Talarico F., Licata S., Frigatti P., Ronchey S., Mangialardi N., Pratesi C., Salvini M., Milite D., Pilon F., Perkmann R., Stringari C., Pulli R., Faggioli G., and Gargiulo M.

Subjects
Registrie, Male, medicine.medical_specialty, Time Factors, Time Factor, Endoleak, medicine.medical_treatment, 030204 cardiovascular system & hematology, 030230 surgery, Prosthesis Design, Endovascular aneurysm repair, 03 medical and health sciences, Blood Vessel Prosthesis Implantation, 0302 clinical medicine, Blood vessel prosthesis, Median follow-up, Risk Factors, FEVAR, Occlusion, medicine, Humans, Prospective Studies, Registries, Prospective cohort study, Aged, Aged, 80 and over, Endovascular Procedure, Aortic Aneurysm, Thoracic, business.industry, Risk Factor, Endovascular Procedures, Stent, Vascular surgery, Anaconda, medicine.disease, Abdominal aortic aneurysm, Surgery, Blood Vessel Prosthesis, Prospective Studie, Treatment Outcome, Italy, Female, Cardiology and Cardiovascular Medicine, business, Human, Aortic Aneurysm, Abdominal
Abstract

Objective The aim was to describe the outcomes of the Anaconda™ Fenestrated endograft Italian Registry for complex aortic aneurysms (AAAs), unsuitable for standard endovascular aneurysm repair (EVAR). Methods Between 2012 and 2018 patients with a proximal neck unsuitable for standard EVAR, treated with the fenestrated Anaconda™ endograft, were prospectively enrolled in a dedicated database. Endpoints were peri-operative technical success (TS) and evaluation of type Ia/b or 3 endoleaks (T1/3 EL), target visceral vessel (TVV) occlusion, re-interventions, and AAA related mortality at 30 days, six months, and later follow up. Results One hundred twenty seven patients (74 ± 7 years, American Society Anesthesiology (ASA) II/III/IV: 12/85/30) were included in the study in 49 Italian Vascular Surgery Units (83 juxta/para-renal AAA, 13 type IV thoraco-abdominal AAA, 16 T1aEL post EVAR, and 15 short neck AAA). Configurations with one, two, three, and four fenestrations were used in 5, 56, 39, and 27 cases, respectively, for a total of 342 visceral vessels. One hundred and eight (85%) bifurcated and 19 (15%) tube endografts were implanted. In 35% (44/127) of cases the endograft was repositioned during the procedure, and 37% (128/342) of TVV were cannulated from brachial access. TS was 87% (111/127): five T1EL, six T3EL (between fenestration and vessel stent), and six loss of visceral vessels (one patient with a Type Ia EL had also a TVV loss) occurred. Thirty day mortality was 4% (5/127). Two of the five T1EL resolved spontaneously at 30 days. The overall median follow up was 21 ± 16 months; one T1EL (5%) occurred at six months and one T3EL (4%) at the three year follow up. Another two (3%) TVV occlusions occurred at six months and five (3%) at three years. The re-intervention rate at the 30 days, six months, and three year follow up was 5%, 7%, and 18 ± 5%, respectively. Conclusion The fenestrated Anaconda™ endograft is effective in the treatment of complex AAA. Some structure properties, such as the re-positionability and the possibility of cannulation from above, are specific characteristics helpful for the treatment of some complex anatomies.

Published
2019

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